Agency Finds Disparities in Medicaid Managed Care Appeals and Grievance Data

Agency Finds Disparities in Medicaid Managed Care Appeals and Grievance Data

The Government Accountability Office (GAO) released a report that examined the appeals and grievances data related to Medicaid Managed Care plans, aiming to assess their effectiveness in protecting enrollees and ensuring quality of care. With over 70% of Medicaid enrollees receiving services through managed care, GAO has concerns regarding potential financial incentives for plans to deny or limit services. This… (Eisen, March 14, 2024) #Transparency